Cohere Health provides an AI-powered prior authorization and clinical intelligence platform that automates and personalizes provider workflows, aligns plans and physicians on evidence-based care paths, and modernizes utilization management.
<p><strong>Opportunity Overview:</strong></p> <p>We are seeking a Senior Forward-Deployed Engineer to join our Forward Deployed Engineering team at Cohere Health. In this highly technical, customer-facing role, you will own end-to-end technical integration work with enterprise customers and partners—from pre-sales through production deployment—bridging complex healthcare systems with Cohere’s AI-first platform. You’ll partner closely with Engineering, Product, Solutions Architecture, and Customer Success teams to design and execute sophisticated integrations that improve access to care for millions of members.</p> <p><strong>What you’ll do:</strong></p> <ul> <li>Own end-to-end technical integration design and execution for enterprise customers, from initial scoping through production deployment, serving as the primary technical authority throughout</li> <li>Lead technical discovery, scoping, and proof-of-concept work during pre-sales cycles, creating technical proposals and estimates to validate feasibility for prospective customers</li> <li>Design system architectures that bridge customer IT environments with Cohere’s platform, making key architectural decisions that balance customer constraints with platform capabilities</li> <li>Work hands-on with AI/ML-enabled healthcare features—including clinical decision support, automated review, and intelligent routing—ensuring they meet regulatory requirements and clinical safety standards</li> <li>Produce high-quality technical artifacts including integration designs, architecture diagrams, data mappings, API implementation guides, and operational runbooks</li> <li>Build reusable integration patterns and templates that scale across customers, and continuously identify opportunities to improve platform capabilities based on implementation learnings</li> <li>Collaborate cross-functionally with Engineering, Product, Solutions Architecture, and Customer Success teams to drive successful go-live outcomes and mentor junior team members</li> </ul> <p> </p> <p><strong>What you’ll need:</strong></p> <ul> <li>6–10+ years of software engineering experience with a strong backend/systems focus</li> <li>Healthcare industry experience, particularly on the payer side (health plans, managed care organizations), including familiarity with healthcare workflows, data standards, and regulatory requirements</li> <li>Deep expertise in data architecture and integration patterns: data modeling, transformation logic, schema design, and enterprise integration patterns (middleware, message queues, event-driven architectures)</li> <li>Hands-on experience with AWS cloud platforms (Lambda, ECS, RDS, S3, API Gateway, EventBridge)</li> <li>Strong API integration and authentication experience: RESTful APIs, webhooks, OAuth2/OIDC, SAML 2.0, JWT, mTLS, and API key management</li> <li>Production coding skills in modern languages (Python, Node.js, Java, Go, or similar)</li> <li>Experience working directly with enterprise customers in technical implementation roles (not just internal teams)</li> <li>Comfort with ambiguity and high agency: ability to define problems, propose solutions, and execute independently</li> <li>Direct experience with payer-side technology: prior authorization platforms, utilization management systems, or claims processing is a plus</li> <li>Familiarity with healthcare data standards: FHIR, X12 (837, 278, 275), HL7v2, or similar specifications is a plus</li> <li>AI/ML integration experience: working with LLMs, embedding AI capabilities into production systems, or ML model deployment is a plus</li> <li>Infrastructure-as-code experience with Terraform, CloudFormation, or similar tools is a plus</li> <li>Experience in regulated environments (HIPAA, SOC2, HITRUST) is a plus</li> <li>Database expertise: SQL and NoSQL (PostgreSQL, MongoDB, DynamoDB), query optimization, and data modeling is a plus</li> <li>Identity and access management (IAM) experience: SSO implementations, federated identity, RBAC, and multi-tenancy security patterns is a plus</li> </ul> <p> </p> <p><strong>Pay & Perks:</strong></p> <p>💻 Fully remote opportunity with about 5% travel</p> <p>🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program </p> <p>📈 401K retirement plan with company match; flexible spending and health savings account </p> <p>🏝️ Flex Time Off + company holidays</p> <p>👶 Up to 14 weeks of paid parental leave </p> <p>🐶 Pet insurance </p> <p>The salary range for this position is $135,000 to $160,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.</p> <p> </p> <p><strong>Interview Process*:</strong></p> <ol> <li>Connect with Talent Acquisition for a Preliminary Phone Screening</li> <li>Meet your Hiring Manager!</li> <li>Design Exercises </li> <li>Cross-Functional Interview</li> </ol> <p>*Subject to change</p> <p> </p> <p><strong>About Cohere Health:</strong></p> <p>Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members.</p> <p>With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data